N14
Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions
N14 is a non-billable ICD-10-CM code category for drug- and heavy-metal-induced tubulo-interstitial and tubular conditions. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are N14.0 Analgesic nephropathy; N14.1 Nephropathy induced by other drugs, medicaments and biological substances; N14.2 Nephropathy induced by unspecified drug, medicament or biological substance; N14.3 Nephropathy induced by heavy metals and 1 more. Its coding notes include a Code first instruction, a Use additional code instruction, 1 Excludes1 entry and 8 Excludes2 entries.
Code first
If the underlying condition listed here is present and known, sequence it first.
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use additional code
Add the listed code as a secondary code, if known.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (8 notes)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Includes
Further defines or gives examples of the content of the category.
Also from chapter/block level (1 note)
- pyelonephritis
More specific codes under N14 5
- N14.0Analgesic nephropathyBillable
- N14.1Nephropathy induced by other drugs, medicaments and biological substancesHeader
- N14.2Nephropathy induced by unspecified drug, medicament or biological substanceBillable
- N14.3Nephropathy induced by heavy metalsBillable
- N14.4Toxic nephropathy, not elsewhere classifiedBillable